Spring Valley Dental Group Ltd | |
904 E Highway 50 O Fallon IL 62269 | |
(618) 632-8471 | |
(618) 632-7130 |
Full Name | Spring Valley Dental Group Ltd |
---|---|
Speciality | Dentist |
Location | 904 E Highway 50, O Fallon, Illinois |
Authorized Official Name and Position | Aaron V Oge (CORP SEC) |
Authorized Official Contact | 6186328471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spring Valley Dental Group Ltd 904 E Highway 50 O Fallon IL 62269 Ph: (618) 632-8471 | Spring Valley Dental Group Ltd 904 E Highway 50 O Fallon IL 62269 Ph: (618) 632-8471 |
NPI Number | 1013008978 |
---|---|
Provider Enumeration Date | 09/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013008978 | NPI | - | NPPES |
507401 | Other | UNITED CONCORDIA INS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 6 days ago
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